MEDICARE: DR. MARTIN J SAPIR DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	032520	NY

General Provider Information

NPI Number	:	1336144385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN J SAPIR DMD

Provider Business Mailing Address
First Line	:	1254 48TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3009
Country	:	US
Telephone Number	:	718-435-9666
Fax Number	:	718-435-5874

Provider Business Practice Location Address
First Line	:	1254 48TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3009
Country	:	US
Telephone Number	:	718-435-9666
Fax Number	:	718-435-5874

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	11/12/2013

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